Jaclyn Helen Vincent, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

005460 Issued in CT

Practice address

20 Felicity LN
Torrington, CT 06790-6101

Phone

(860) 496-0206

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1336575133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HARTLAND RD",
            "city": "WEST GRANBY",
            "state": "CT",
            "postal_code": "060901109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FELICITY LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906101",
            "telephone_number": "860-496-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JACLYN",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5460",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "005460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008047268",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Verrastro, SLP
• Bonnie Viens, M.D.
• Catherine Vigliotti
• Maria Katrina Villanueva, M.D
• Dawn Vincent
• Diana C Vincenzo, LCSW
• Yelena Vishnepolskaya, PHARMD.
• Jaclyn Marie Vitkovsky
• Susan Vontell, APRN
• Taylor Nicole Wachtarz, LPC

• Pediatric Nurse Practitioner in Torrington, CT
• Providers in Torrington, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.